Provider Demographics
NPI:1437342292
Name:CHRISTINA SEGEL LMT INC
Entity Type:Organization
Organization Name:CHRISTINA SEGEL LMT INC
Other - Org Name:A CLINICAL MASSAGE AND THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-948-2800
Mailing Address - Street 1:PO BOX 2580
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-2580
Mailing Address - Country:US
Mailing Address - Phone:813-948-2800
Mailing Address - Fax:813-948-2800
Practice Address - Street 1:108 WHITAKER RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-5642
Practice Address - Country:US
Practice Address - Phone:813-948-2800
Practice Address - Fax:813-948-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM14476225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty